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Health care access and glycemic control in youth and young adults with type 1 and type 2 diabetes in South Carolina
Journal article   Open access   Peer reviewed

Health care access and glycemic control in youth and young adults with type 1 and type 2 diabetes in South Carolina

Angela D Liese, Xiaonan Ma, Lauren Reid, Melanie W Sutherland, Bethany A Bell, Jan M Eberth, Janice C Probst, Christine B Turley and Elizabeth J Mayer-Davis
Pediatric diabetes, v 20(3), pp 321-329
May 2019
DOI: https://doi.org/10.1111/pedi.12822
PMID: 30666775
Featured in Collection :   UN Sustainable Development Goals @ Drexel
url
https://doi.org/10.1111/pedi.12822View
Published, Version of Record (VoR) Open

Abstract

Adolescent Adult Blood Glucose - analysis Blood Glucose - metabolism Child Child Health Services - statistics & numerical data Diabetes Mellitus, Type 1 - blood Diabetes Mellitus, Type 1 - economics Diabetes Mellitus, Type 1 - epidemiology Diabetes Mellitus, Type 1 - therapy Diabetes Mellitus, Type 2 - blood Diabetes Mellitus, Type 2 - economics Diabetes Mellitus, Type 2 - epidemiology Diabetes Mellitus, Type 2 - therapy Female Glycated Hemoglobin - analysis Glycated Hemoglobin - metabolism Health Services Accessibility - economics Health Services Accessibility - standards Health Services Accessibility - statistics & numerical data Humans Insurance Coverage Insurance, Health - classification Insurance, Health - legislation & jurisprudence Insurance, Health - statistics & numerical data Male Patient Protection and Affordable Care Act South Carolina - epidemiology Young Adult
Affordability and geographic accessibility are key health care access characteristics. We used data from 481 youth and young adults (YYA) with diabetes (389 type 1, 92 type 2) to understand the association between health care access and glycemic control as measured by HbA values. In multivariate models, YYA with state or federal health insurance had HbA percentage values 0.68 higher (P = 0.0025) than the privately insured, and those without insurance 1.34 higher (P < 0.0001). Not having a routine diabetes care provider was associated with a 0.51 higher HbA (P = 0.048) compared to having specialist care, but HbA did not differ significantly (P = 0.069) between primary vs specialty care. Distance to utilized provider was not associated with HbA among YYA with a provider (P = 0.11). These findings underscore the central role of health insurance and indicate a need to better understand the root causes of poorer glycemic control in YYA with state/federal insurance.

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13 Record Views
18 citations in Web of Science
20 citations in Scopus

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UN Sustainable Development Goals (SDGs)

This publication has contributed to the advancement of the following goals:

#3 Good Health and Well-Being

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Collaboration types
Domestic collaboration
Web of Science research areas
Endocrinology & Metabolism
Pediatrics
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